Surgical treatment for cystic lesions of the pancreas

Abstract

During the period 2011–2021, 45 patients with pancreatic cysts were treated at the AlexanderMariinsky Regional Clinical Hospital in Astrakhan. All patients were divided into 2 groups. 20 patients of the first group (45%) underwent external drainage of cysts, 7 out of them underwent obliteration of residual cavities by the method developed by us. To do this, the drug Povidone – Iodine 10% was used. The second group included 25 (55%) patients with internal drainage of cysts: in 5 patients (11%) pancreacystogastrostomy was performed; in 9 patients (20%) — pancreatocystoejunostomy; in 5 patients (11%) — pancreatic drainage; in 5 (11%) — laparoscopic cystectomy; and open echinococcectomy was performed in 1 patient (2%). Clinical, laboratory, instrumental and statistical research methods were carried out. A comparative evaluation of two methods of drainage operations for pancreatic cysts showed the advantage of internal drainage over external. 7 (16%) patients had a variety of complications. The recurrence of cysts was 4 (9%) cases. All the patients recovered. There were no cases of lethality.